Canadian perspectives on the clinical actionability of neuroimaging in disorders of consciousness.
Identifieur interne : 000547 ( PubMed/Curation ); précédent : 000546; suivant : 000548Canadian perspectives on the clinical actionability of neuroimaging in disorders of consciousness.
Auteurs : Grace Lee [Canada] ; Adrian C. Byram [Canada] ; Adrian M. Owen [Canada] ; Urs Ribary [Canada] ; A Jon Stoessl [Canada] ; Andrea Townson [Canada] ; Christine Stables [Canada] ; Judy Illes [Canada]Source :
- The Canadian journal of neurological sciences. Le journal canadien des sciences neurologiques [ 0317-1671 ] ; 2015.
English descriptors
- KwdEn :
- Adult, Attitude of Health Personnel, Brain (pathology), Calibration, Canada, Consciousness Disorders (diagnosis), Consciousness Disorders (pathology), Cost of Illness, Delivery of Health Care, Diagnostic Errors, Female, Health Care Surveys, Humans, Informed Consent, Male, Neuroimaging (methods), Persistent Vegetative State (diagnosis), Physicians, Prognosis, Reproducibility of Results, Treatment Outcome.
- MESH :
- diagnosis : Consciousness Disorders, Persistent Vegetative State.
- methods : Neuroimaging.
- pathology : Brain, Consciousness Disorders.
- Adult, Attitude of Health Personnel, Calibration, Canada, Cost of Illness, Delivery of Health Care, Diagnostic Errors, Female, Health Care Surveys, Humans, Informed Consent, Male, Physicians, Prognosis, Reproducibility of Results, Treatment Outcome.
Abstract
Acquired brain injury is a critical public health and socioeconomic problem in Canada, leaving many patients in vegetative, minimally conscious, or locked-in states, unresponsive and unable to communicate. Recent advances in neuroimaging research have demonstrated residual consciousness in a few exemplary patients with acquired brain injury, suggesting potential misdiagnosis and changes in prognosis. Such progress, in parallel with research using multimodal brain imaging technologies in recent years, has promising implications for clinical translation, notwithstanding the many challenges that impact health care and policy development. This study explored the perspectives of Canadian professionals with expertise either in neuroimaging research, disorders of consciousness, or both, on the potential clinical applications and implications of imaging technology.
DOI: 10.1017/cjn.2015.8
PubMed: 25804248
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Byram</name><affiliation wicri:level="1"><nlm:affiliation>1National Core for Neuroethics,Division of Neurology,Department of Medicine,University of British Columbia,Vancouver,Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>1National Core for Neuroethics,Division of Neurology,Department of Medicine,University of British Columbia,Vancouver</wicri:regionArea></affiliation></author><author><name sortKey="Owen, Adrian M" sort="Owen, Adrian M" uniqKey="Owen A" first="Adrian M" last="Owen">Adrian M. Owen</name><affiliation wicri:level="1"><nlm:affiliation>2The Brain and Mind Institute,University of Western Ontario,London,Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>2The Brain and Mind Institute,University of Western Ontario,London</wicri:regionArea></affiliation></author><author><name sortKey="Ribary, Urs" sort="Ribary, Urs" uniqKey="Ribary U" first="Urs" last="Ribary">Urs Ribary</name><affiliation wicri:level="1"><nlm:affiliation>3Behavioural and Cognitive Neuroscience Institute,Simon Fraser University,Burnaby,Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>3Behavioural and Cognitive Neuroscience Institute,Simon Fraser University,Burnaby</wicri:regionArea></affiliation></author><author><name sortKey="Stoessl, A Jon" sort="Stoessl, A Jon" uniqKey="Stoessl A" first="A Jon" last="Stoessl">A Jon Stoessl</name><affiliation wicri:level="1"><nlm:affiliation>1National Core for Neuroethics,Division of Neurology,Department of Medicine,University of British Columbia,Vancouver,Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>1National Core for Neuroethics,Division of Neurology,Department of Medicine,University of British Columbia,Vancouver</wicri:regionArea></affiliation></author><author><name sortKey="Townson, Andrea" sort="Townson, Andrea" uniqKey="Townson A" first="Andrea" last="Townson">Andrea Townson</name><affiliation wicri:level="1"><nlm:affiliation>5Division of Physical Medicine and Rehabilitation,Department of Medicine, Faculty of Medicine,University of British Columbia,Vancouver,Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>5Division of Physical Medicine and Rehabilitation,Department of Medicine, Faculty of Medicine,University of British Columbia,Vancouver</wicri:regionArea></affiliation></author><author><name sortKey="Stables, Christine" sort="Stables, Christine" uniqKey="Stables C" first="Christine" last="Stables">Christine Stables</name><affiliation wicri:level="1"><nlm:affiliation>4Pacific Parkinson's Research Centre and National Parkinson Foundation Centre of Excellence,Vancouver,Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>4Pacific Parkinson's Research Centre and National Parkinson Foundation Centre of Excellence,Vancouver</wicri:regionArea></affiliation></author><author><name sortKey="Illes, Judy" sort="Illes, Judy" uniqKey="Illes J" first="Judy" last="Illes">Judy Illes</name><affiliation wicri:level="1"><nlm:affiliation>1National Core for Neuroethics,Division of Neurology,Department of Medicine,University of British Columbia,Vancouver,Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>1National Core for Neuroethics,Division of Neurology,Department of Medicine,University of British Columbia,Vancouver</wicri:regionArea></affiliation></author></analytic><series><title level="j">The Canadian journal of neurological sciences. Le journal canadien des sciences neurologiques</title><idno type="ISSN">0317-1671</idno><imprint><date when="2015" type="published">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Attitude of Health Personnel</term><term>Brain (pathology)</term><term>Calibration</term><term>Canada</term><term>Consciousness Disorders (diagnosis)</term><term>Consciousness Disorders (pathology)</term><term>Cost of Illness</term><term>Delivery of Health Care</term><term>Diagnostic Errors</term><term>Female</term><term>Health Care Surveys</term><term>Humans</term><term>Informed Consent</term><term>Male</term><term>Neuroimaging (methods)</term><term>Persistent Vegetative State (diagnosis)</term><term>Physicians</term><term>Prognosis</term><term>Reproducibility of Results</term><term>Treatment Outcome</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Consciousness Disorders</term><term>Persistent Vegetative State</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Neuroimaging</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Brain</term><term>Consciousness Disorders</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Attitude of Health Personnel</term><term>Calibration</term><term>Canada</term><term>Cost of Illness</term><term>Delivery of Health Care</term><term>Diagnostic Errors</term><term>Female</term><term>Health Care Surveys</term><term>Humans</term><term>Informed Consent</term><term>Male</term><term>Physicians</term><term>Prognosis</term><term>Reproducibility of Results</term><term>Treatment Outcome</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Acquired brain injury is a critical public health and socioeconomic problem in Canada, leaving many patients in vegetative, minimally conscious, or locked-in states, unresponsive and unable to communicate. Recent advances in neuroimaging research have demonstrated residual consciousness in a few exemplary patients with acquired brain injury, suggesting potential misdiagnosis and changes in prognosis. Such progress, in parallel with research using multimodal brain imaging technologies in recent years, has promising implications for clinical translation, notwithstanding the many challenges that impact health care and policy development. This study explored the perspectives of Canadian professionals with expertise either in neuroimaging research, disorders of consciousness, or both, on the potential clinical applications and implications of imaging technology.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">25804248</PMID><DateCreated><Year>2015</Year><Month>03</Month><Day>25</Day></DateCreated><DateCompleted><Year>2016</Year><Month>12</Month><Day>15</Day></DateCompleted><DateRevised><Year>2016</Year><Month>12</Month><Day>30</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">0317-1671</ISSN><JournalIssue CitedMedium="Internet"><Volume>42</Volume><Issue>2</Issue><PubDate><Year>2015</Year><Month>Mar</Month></PubDate></JournalIssue><Title>The Canadian journal of neurological sciences. Le journal canadien des sciences neurologiques</Title><ISOAbbreviation>Can J Neurol Sci</ISOAbbreviation></Journal><ArticleTitle>Canadian perspectives on the clinical actionability of neuroimaging in disorders of consciousness.</ArticleTitle><Pagination><MedlinePgn>96-105</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1017/cjn.2015.8</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Acquired brain injury is a critical public health and socioeconomic problem in Canada, leaving many patients in vegetative, minimally conscious, or locked-in states, unresponsive and unable to communicate. Recent advances in neuroimaging research have demonstrated residual consciousness in a few exemplary patients with acquired brain injury, suggesting potential misdiagnosis and changes in prognosis. Such progress, in parallel with research using multimodal brain imaging technologies in recent years, has promising implications for clinical translation, notwithstanding the many challenges that impact health care and policy development. This study explored the perspectives of Canadian professionals with expertise either in neuroimaging research, disorders of consciousness, or both, on the potential clinical applications and implications of imaging technology.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">Twenty-two professionals from designated communities of neuroimaging researchers, ethicists, lawyers, and practitioners participated in semistructured interviews. Data were analyzed for emergent themes.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">The five most dominant themes were: (1) validation and calibration of the methods; (2) informed consent; (3) burdens on the health care system; (4) implications for the Canadian health care system; and (5) possibilities for improved prognosis.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Movement of neuroimaging from research into clinical care for acquired brain injury will require careful consideration of legal and ethical issues alongside research reliability, responsible distribution of health care resources, and the interaction of technological capabilities with patient outcome.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Lee</LastName><ForeName>Grace</ForeName><Initials>G</Initials><AffiliationInfo><Affiliation>1National Core for Neuroethics,Division of Neurology,Department of Medicine,University of British Columbia,Vancouver,Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Byram</LastName><ForeName>Adrian C</ForeName><Initials>AC</Initials><AffiliationInfo><Affiliation>1National Core for Neuroethics,Division of Neurology,Department of Medicine,University of British Columbia,Vancouver,Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Owen</LastName><ForeName>Adrian M</ForeName><Initials>AM</Initials><AffiliationInfo><Affiliation>2The Brain and Mind Institute,University of Western Ontario,London,Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ribary</LastName><ForeName>Urs</ForeName><Initials>U</Initials><AffiliationInfo><Affiliation>3Behavioural and Cognitive Neuroscience Institute,Simon Fraser University,Burnaby,Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Stoessl</LastName><ForeName>A Jon</ForeName><Initials>AJ</Initials><AffiliationInfo><Affiliation>1National Core for Neuroethics,Division of Neurology,Department of Medicine,University of British Columbia,Vancouver,Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Townson</LastName><ForeName>Andrea</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>5Division of Physical Medicine and Rehabilitation,Department of Medicine, Faculty of Medicine,University of British Columbia,Vancouver,Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Stables</LastName><ForeName>Christine</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>4Pacific Parkinson's Research Centre and National Parkinson Foundation Centre of Excellence,Vancouver,Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Illes</LastName><ForeName>Judy</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>1National Core for Neuroethics,Division of Neurology,Department of Medicine,University of British Columbia,Vancouver,Canada.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><GrantList CompleteYN="Y"><Grant><Agency>Canadian Institutes of Health Research</Agency><Country>Canada</Country></Grant></GrantList><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>Can J Neurol Sci</MedlineTA><NlmUniqueID>0415227</NlmUniqueID><ISSNLinking>0317-1671</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001291" MajorTopicYN="N">Attitude of Health Personnel</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001921" MajorTopicYN="N">Brain</DescriptorName><QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D002138" MajorTopicYN="N">Calibration</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D002170" MajorTopicYN="N">Canada</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003244" MajorTopicYN="N">Consciousness Disorders</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="Y">diagnosis</QualifierName><QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D017281" MajorTopicYN="N">Cost of Illness</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003695" MajorTopicYN="N">Delivery of Health Care</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003951" MajorTopicYN="N">Diagnostic Errors</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D019538" MajorTopicYN="N">Health Care Surveys</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007258" MajorTopicYN="N">Informed Consent</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D059906" MajorTopicYN="N">Neuroimaging</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D018458" MajorTopicYN="N">Persistent Vegetative State</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D010820" MajorTopicYN="N">Physicians</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011379" MajorTopicYN="N">Prognosis</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015203" MajorTopicYN="N">Reproducibility of Results</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016896" MajorTopicYN="N">Treatment Outcome</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">qualitative methods</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2015</Year><Month>3</Month><Day>26</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2015</Year><Month>3</Month><Day>26</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2016</Year><Month>12</Month><Day>16</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">25804248</ArticleId><ArticleId IdType="pii">S0317167115000086</ArticleId><ArticleId IdType="doi">10.1017/cjn.2015.8</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix 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